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NPI Code Detail

MEDICARE: JOANNE M. DELLA VALLE LCSW

MEDICARE: JOANNE M. DELLA VALLE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker052350NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386740835
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE M. DELLA VALLE LCSW
Provider Business Mailing Address
First Line : PO BOX 31092
Second Line :
City : HARTFORD
State : CT
Zip : 06150-1092
Country : US
Telephone Number : 518-952-8140
Fax Number : 518-952-8287
Provider Business Practice Location Address
First Line : 55 ELM ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-3549
Country : US
Telephone Number : 518-793-7273
Fax Number : 518-798-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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